HomeMy WebLinkAbout1991-003573 - remodel bathrooms PERMIZ`
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 �:t t J�._�.;�.s`•,;;�
Permit Number: _ _ _
Cr stal Ba , Minnesota 55323 `'i'��=''���
y y Date Issued: `�..,�,�5��,��
(612) 473-7357
SITE ADDRESS:
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/� LICANT RM EE SIGNATURE ISSUED BY:SIGNATURE �
CITY OF ORONO - BUILDZNG PERMIT APPLICATION
Total Fee: $ Date Received:
i Date Approved:
I Entered .By:
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Permit#:
1
,
� ALL INFORMATION 1�IDST BE SIIBMITTED IN FIILL BBFORE PLAN REVIEW WILL BE STARTED
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� _____�_______�__________�_________�________�___�___�____�_________�______�___�.
THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: ��« �� �OIn1T '�D , ZIp; 5�3�1 I
(work)
NAME OF OWNER: C�Eht E �{ � SG�d-��1�1 PHONE: (h ome}47�^ �`�5`a
MAILING ADDRESS: S�� CITY: ZIP:
CONTRACTOR: Ih1s11� �, �lit-t' ��Y1�L0�-� PHONE: '72..1 '���
MAILING ADDRESS: �g'�1 ��' PN� 4�� CITY: �'V�PLJS . ZIP: ��`�''�-6
TYPE OF WORK: New Addition Accessory Structure Move
Demo Remodel/Alteration7�� Renovate Land Alteration
PROPOSED WORR (describe in detail) : }�moDEl..._ -t'Wo ��C�S'r')Ny 'P�A�1'Pryao►►�S •
Csi.�T , tr'c-'X� , Tl L-E + �t��n�tn8�NCa � E l.Ez'1'T�L�A�---
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STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALIIATION (excluding land) : $ l� , l?80
I hereby apply for a building permit and I acknowledge that the informatic
above is complete and accurate; that the work will be in conformance with tr
ordinances and codes of the City and with the State Building Code; that
understand this is not a �ermit and work is not to start without a permit; a:.
that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATIIRE: DATE: 3�5I9 �
(Please fill ou th reverse side of this form)
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�,��r�����._"` a.� �ITY of ORON�
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,�r,� '(,A,�,,�,��.,� �,t Post Office Box 66•Crystal Bay, Minnesota 55323•Municipal Offic�
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On the North Shore of Lake Minnetonka
. . ,
DATA__PRIVACY ADVISORY
In accordance with M.S. 15.165, "Rights of subjects of data", we
would like to inform you that your request for a permit or license
from the City of Orono or any of its departments may require you to
furnish certain private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your
qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or license.
3. The information may be shared with other local , state or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or license requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 15.165 to review private
data on yourself.
6. Your full name, and date of birth are required to process
this application or permit.
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First Middle Last
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Address
I'��VS_' .__-�----- .- --- _ _ _-�N .�_. _ -- - -- --___.55�"E'.. ----- --�------
City State Zip
72)-'t.ol$-- -- -____ - - ----�_ -_____._
Phone
I understand my rights as stated above.
Signature
BUILDING&ZONING—473-7357 • MLNISTRATION&FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
� DATE/ TIME
CITYOFORONO CALLEDIN ��«�(G" ��
INSPECTtON NOTICE scHEou�Eo 3 ` :' i' i/ �
PERMITNO. �i_� �1'� COMPLETED �(�_ t'(
ADDRESS ���� S ���-� ���� /�c��
OWNER � CCt-r� /o-y� CONTR.�h7 �. `� C�tq.�
TELEPHONE NO. ��� " �����
� DESCRIPTION
� 01 F TING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlCon tor n site:
Inspector.
White Copyllnspe or's File Canary CopylSite Notice
� D TE., TIN�
CITY OF ORONO CALLED IN ' -� � � '->�� ��
INSPECTION NOTICE � SCHEDULED �• - l� � 'S��d��
PERMIT NO. �-��� COMPLETED L �
ADDRESS --�� � � �'� � 7 '
OWNER r— � -�.�1� 0 /� CONT�--� ��,a=C.< <i C,C�� • .,.�/y/��
TELEPHONE NO. 1 l � �� �d
� DESCRIPTION �� � -<=-��L-IIC'7�
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
y 03 INSULATION �1 24I25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS
Z 04 W D. yz 'r'�� ' 12 WATER HOOK-UP 34 TREE REMOVAL
Q!05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
� 7 O—SITE 14 SEWER HOOK•UP O6 PROGRESS
J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
� 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 10 PLUMBING FINAL 23 SEPTIC FINAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMME TS:
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d �J WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� ( C� CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlCont� n site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice